A miscarriage is devastating on its own. For many, a dilation and curettage — commonly called a D&C — becomes part of that experience. If you’ve been told you need this procedure, you may be wondering what recovery really looks like.
The good news: D&Cs are safe, common, and usually quick. Still, it helps to know what to expect both physically and emotionally.
What Happens During a D&C
The procedure usually takes place in a hospital or outpatient clinic.
You’ll likely receive anesthesia, so you’ll be asleep or sedated.
The doctor dilates (expands) your cervix (lower, narrow part of the uterus) so that the uterine lining (endometrium) can be removed.
The surgery itself typically lasts only 5–15 minutes.
Recovery Timeline
The recovery process will vary depending on the type of procedure performed and type of anesthesia that was administered. Every person’s body responds differently, but here’s what many experience:
Day 1–2: Some cramping (like period cramps), light to moderate bleeding, and fatigue from anesthesia are common.
First week: Bleeding usually lightens or stops completely. Many people return to light daily activities or work within a few days.
Weeks 4–6: Your next period may return within this window, though some people notice it sooner or later. If you haven’t had a period by 8 weeks, check with your doctor.
Possible Risks (and Signs to Watch For)
Complications after a D&C are rare, but it’s important to know what’s normal and what isn’t:
Normal: Mild cramps, light bleeding, fatigue.
Seek urgent care if you're soaking >2 pads/hour for 2 hours, pass large clots, develop fever or chills, or notice foul smelling discharge.
Uterine scarring (Asherman's syndrome) is uncommon after a single D&C, but the risk increased with repeated procedures or aggressive curettage.
If your periods don’t return within 2–3 months, ask your doctor to investigate. Infection risk is low, but higher if tissue remains or asepsis is compromised.
The Emotional Side of D&C
For some, the D&C brings relief:
“I couldn’t bear to pass the tissue at home. Waking up, I felt sad, but also relieved that it was over.”
For others, the procedure itself feels traumatic:
“I wasn’t prepared to go into surgery for something I wanted so badly.”
Both responses are valid. Physical recovery may take days, but emotional recovery often takes much longer. Emotional support services and follow-up counselling can aid recovery.
Key Takeaways
Most people recover physically from a D&C within about a week.
Watch for heavy bleeding, fever, or foul discharge as signs to seek help.
Periods usually return within 4–6 weeks, but timing varies.
Emotional healing is just as important as physical recovery — give yourself space and support.
🩺 After a D&C, care shouldn’t end at discharge. Sibyl helps bridge the gap with personalized, gentle support. Sign up for early access: https://www.sibyl.care/signup
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